Severe Mental Illness — Flashcards

Flashcard 141: Describe how clozapine is monitored: _____

Answer: 0-18 weeks = weekly FBC 18-52 weeks = fortnightly FBC 1 year+ = montly FBC

Flashcard 142: What are the relative contraindications of electroconvulsive therapy? _____ Recent myocardial infarction (3 months) Severe hypertension

Answer: Raised ICP

Flashcard 143: Before starting clozapine, what baseline tests should be done? (2) _____

Answer: FBC for leucocytes ECG for baseline cardiac function

Extra: Full baseline requirements for Clozapine: 1. FBC (Absolute Neutrophil Count must be >1500/mm³) 2. ECG (Cardiac history/baseline) 3. Metabolic: Weight, Waist circumference, BP, Fasting Blood Glucose, and Lipid profile. 4. Cardiac markers: Troponins and/or ESR/CRP are often done to monitor for myocarditis in the first few weeks.

Flashcard 144: What is the management of mania (bipolar disorder) if the patient is currently taking an antidepressant? _____

Answer: Stop the antidepressant and start an antipsychotic

Flashcard 145: What cluster of personality disorder is Antisocial Personality Disorder? _____

Answer: B

Flashcard 146: What cluster of personality disorder is Borderline Personality Disorder? _____

Answer: B

Extra: Cluster B personality disorders are characterized by dramatic, overly emotional, or unpredictable thinking or behavior. They include: • Borderline Personality Disorder • Antisocial Personality Disorder • Histrionic Personality Disorder • Narcissistic Personality Disorder

Flashcard 147: What cluster of personality disorder is Schizotypal Personality Disorder? _____

Answer: A

Flashcard 148: What is the management of a diagnosed psychotic disorder? _____

Answer: Oral antipsychotic with psychological intervention

Flashcard 149: What is the first-line management of severe depression? _____

Answer: SSRI+high-intensity psychological interventions

Flashcard 150: The most common psychotic disorder is _____

Answer: schizophrenia